Jerry Hernandez DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JERRY HERNANDEZ DDS INC

Practice address

28314 Old Town Front St
Temecula, CA 92590-1814

Phone

(951) 676-8920

NPI assigned

May 14, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jerry Hernandez, DDS

Title

Dentis

Phone

(951) 676-8920

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• FRIENDLY DENTAL CENTER Other name

Electronic endpoints 5

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1652486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652486400000",
    "number": "1043957764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28314 OLD TOWN FRONT ST",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925901814",
            "telephone_number": "951-676-8920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28314 OLD TOWN FRONT ST",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925901814",
            "telephone_number": "951-676-8920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRY HERNANDEZ DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-14",
        "last_updated": "2022-05-14",
        "certification_date": "2022-05-14",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "DENTIS",
        "authorized_official_telephone_number": "951-676-8920",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DDS",
            "identifier": "1649565557",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "friendlydentalcenter@gmail.com",
            "affiliation": "N",
            "endpointDescription": "friendlydentalcenter@gmail.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "useOtherDescription": "friendlydentalcenter@gmail.com",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "28314 Old Town Front St",
            "city": "Temecula",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925901814",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "friendlydentalcenter@gmail.com",
            "affiliation": "N",
            "endpointDescription": "friendlydentalcenter@gmail.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "28314 Old Town Front St",
            "city": "Temecula",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925901814",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "friendlydentalcenter@gmail.com",
            "affiliation": "N",
            "endpointDescription": "friendlydentalcenter@gmail.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "28314 Old Town Front St",
            "city": "Temecula",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925901814",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "REST",
            "endpointTypeDescription": "RESTful URL",
            "endpoint": "friendlydentalcenter@gmail.com",
            "affiliation": "N",
            "endpointDescription": "friendlydentalcenter@gmail.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "28314 Old Town Front St",
            "city": "Temecula",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925901814",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "friendlydentalcenter@gmail.com",
            "affiliation": "N",
            "endpointDescription": "friendlydentalcenter@gmail.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "28314 Old Town Front St",
            "city": "Temecula",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925901814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "FRIENDLY DENTAL CENTER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• General Practice Dentistry in Temecula, CA
• Providers in Temecula, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.